Created at:1/13/2025
I-Halobetasol ne-tazarotene yimithi yokugcoba kadokotela ehlanganisa izithako ezimbili ezinamandla zokwelapha izimo zesikhumba ezinzima njenge-psoriasis. Le khilimu ehlanganisiwe iletha ndawonye i-corticosteroid enamandla kakhulu (halobetasol) ene-retinoid (tazarotene) ukusiza ukususa izindawo zesikhumba eziqine ngokungathí sina ezingazange zisabele ekwelashweni okuthambile. Udokotela wakho ukunika lo muthi uma udinga usizo olwengeziwe lokuphatha izindawo zesikhumba eziqhubekayo, eziqine, noma ezinama-scaly.
Lo muthi uhlanganisa izinhlobo ezimbili ezihlukene zokwelashwa kwesikhumba zibe khilimu eyodwa. I-Halobetasol ingeyeqembu lemithi ebizwa ngokuthi ama-corticosteroids anamandla kakhulu, okusho ukuthi ingenye yezindlela zokwelapha ezilwa nokuvuvukala ezinamandla kakhulu ezitholakala ezimweni zesikhumba. I-Tazarotene iyi-retinoid esebenza ngokujwayela indlela amaseli esikhumba sakho akhula ngayo futhi achitheke ngayo.
Ngokuhlanganyela, lezi zithako zibhekana nezinkinga zesikhumba ngama-engeli amabili ahlukene. I-halobetasol inciphisa ngokushesha ukuvuvukala, ububomvu, nokuluma, kuyilapho i-tazarotene isiza amaseli esikhumba sakho ukuthi aziphathe ngendlela ejwayelekile ngokuhamba kwesikhathi. Le ndlela ephindwe kabili yenza le nhlanganisela isebenze ngempumelelo kakhulu kunokusebenzisa noma iyiphi ingxenye yayo yodwa ezimweni zesikhumba eziqine ngokungathí sina.
Lo muthi ohlanganisiwe ngokuyinhloko unikezwa ukwelapha i-plaque psoriasis emaphakathi kuya kwesabekayo kubantu abadala. I-Psoriasis ibangela izindawo zesikhumba eziqine, ezinama-scaly ezingaluma, zibangele ubuhlungu, futhi zihlaze. Lo muthi usebenza kahle kakhulu ezindaweni lapho i-psoriasis ivame ukuba yiqinile khona, njengama-elbows, amadolo, nendawo yesikhumba.
Lokhu kuthathwa njengomuthi onamandla kakhulu ngoba kuhlanganisa izithako ezimbili ezinamandla. Ingxenye ye-halobetasol ihlukaniswa njenge-corticosteroid "enamandla kakhulu" noma "yekilasi I", okuyisigaba esinamandla kakhulu esitholakalayo. Isebenza ngokucindezela impendulo yomzimba wakho yokuvuvukala ezindaweni zesikhumba eziphathwayo.
Ingxenye ye-tazarotene isebenza ngendlela ehlukile ngokubopha kuma-receptors athile kumaseli akho esikhumba. Isiza ukujwayela ukuguquka okusheshayo kwamaseli esikhumba okubangela izinduna eziqinile, ezinama-scaly eziqhubeka ze-psoriasis. Le ngxenye ye-retinoid nayo isiza i-halobetasol ukuthi ingene ekujuleni esikhumbeni, okwenza le nhlanganisela isebenze ngempumelelo kunezithako ezisetshenziswa zodwa.
Ngenxa yokuthi lo muthi unamandla kakhulu, unganikeza ukuthuthuka okukhulu ezimpawini ngokushesha. Abantu abaningi baqaphela ukuncipha okuthile kobubomvu kanye nokukala emasontweni ambalwa okuqala okwelashwa.
Sebenzisa lo muthi ngendlela udokotela wakho ayala ngayo, ngokuvamile kanye ngosuku ezindaweni ezithintekile. Qala ngokuwasha izandla zakho bese uhlanza ngobumnene indawo yesikhumba ozoyelapha. Faka ungqimba oluncane lwegremu bese ulugcoba ngobumnene kuze kube selufunziwe.
Akudingeki ukuthi udle noma yini ekhethekile ngaphambi noma ngemva kokusebenzisa lo muthi ngoba usetshenziswa esikhumbeni sakho kunokuba uthathwe ngomlomo. Nokho, kufanele ugweme ukuwusebenzisa ngaphambi nje kokugeza noma ukubhukuda, njengoba amanzi engageza umuthi ngaphambi kokuba nesikhathi sokusebenza kahle.
Nawa amanye amathiphu abalulekile okufanele uwalandele:
Njalo landela imiyalelo ethile kadokotela wakho, njengoba engase ashintshe imvamisa noma indlela yokufaka ngokuya ngesimo sakho somuntu ngamunye nokuphendula ekwelashweni.
Odokotela abaningi banquma lo muthi ukuthi usetshenziswe isikhathi esifushane, ngokuvamile amasonto ama-2 kuya kwayi-8 ngesikhathi. Ngenxa yokuthi iqukethe i-corticosteroid enamandla kakhulu, ukusetshenziswa okuqhubekayo isikhathi eside kungaholela emiphumeleni emibi efana nokuncipha kwesikhumba noma ezinye izinkinga.
Kungenzeka ukuthi udokotela wakho uzofuna ukukubona ngemuva kwamasonto ambalwa ukuze ahlole ukuthi isikhumba sakho siphendula kanjani. Uma i-psoriasis yakho ithuthuka kakhulu, bangase bakuyeke ukuthatha umuthi noma bashintshele ekwelashweni okunganamandla amakhulu ukuze kulondolozwe. Abanye abantu basebenzisa lo muthi ngamajikelezo, bewufaka amasonto ambalwa, bese bephumula ngaphambi kokuqala futhi uma kudingeka.
Isikhathi esiqondile sincike ezintweni eziningana ezihlanganisa ukuthi isimo sakho sibi kangakanani, ukuthi usabela ngokushesha kangakanani ekwelashweni, nokuthi ngabe unayo imiphumela emibi. Ungalokothi uyeke noma uqhubeke nomuthi isikhathi eside kunalokho okushiwo ngaphandle kokuxoxa ngakho nomhlinzeki wakho wezempilo kuqala.
Njengayo yonke imithi, le nhlanganisela ingabangela imiphumela emibi, nakuba kungewona wonke umuntu oyitholayo. Imiphumela emibi evame kakhulu ihlobene nokucasuka kwesikhumba endaweni yokufaka.
Nawa imiphumela emibi evame kakhulu ongase uyithole:
Le miphumela emibi ejwayelekile ivame ukuthuthuka njengoba isikhumba sakho sizivumela emuthini emasontweni ambalwa okuqala okwelashwa.
Imiphumela emibi engathi sína kodwa engavamile ingenzeka, ikakhulukazi uma isetshenziswa isikhathi eside:
Xhumana nodokotela wakho ngokushesha uma uqaphela noma yiziphi izimpawu zokutheleleka kwesikhumba, ukucasuka okukhulu okungathuthuki, noma uma uba nezimpawu ezinjengokukhathala okungavamile noma izinguquko zemizwa ezingase zibonise ukumuncwa kwesistimu.
Lo muthi awulungelwe wonke umuntu, futhi udokotela wakho uzocabangela izinto eziningana ngaphambi kokuwubhala. Abantu abanezimo ezithile noma izimo kufanele bagweme lokhu kwelashwa noma bakusebenzise ngokuqapha okukhulu.
Akufanele usebenzise lo muthi uma une:
Izinyathelo zokuphepha ezikhethekile ziyasebenza uma ukhulelwe, uhlela ukukhulelwa, noma uncelisa. I-Tazarotene ingabangela ukukhubazeka kokuzalwa, ngakho-ke abesifazane abaneminyaka yokuzala badinga ukusebenzisa izindlela zokuvimbela inzalo ezisebenzayo ngesikhathi sokwelashwa futhi bangase badinge ukuhlolwa kokukhulelwa njalo.
Izingane kanye nabantu abadala bangase bazwe kalula imiphumela yalo muthi. Udokotela wakho uzoqaphela ngokucophelela izinzuzo nezingozi ngaphambi kokuwunikeza le miqemane yobudala.
Lo muthi ohlanganisiwe utholakala ngaphansi kwegama lomkhiqizo elithi Duobrii e-United States. I-Duobrii yakhelwe ngqo ukuhlanganisa lezi zithako ezimbili ezisebenzayo emazingeni afanele okwelapha i-psoriasis.
Lo mhlanganisela musha uma uqhathaniswa nezithako ngazinye, ezitholakale ngokuhlukana iminyaka eminingi. Ukuba nazo zihlanganiswe emkhiqizweni owodwa kwenza ukwelashwa kube lula futhi kungase kuthuthukise ukuthi abantu banamathela kanjani ekwelashweni kwabo.
Kukhona ezinye izindlela zokwelapha uma lo muthi ohlanganisiwe ungalungile kuwe. Udokotela wakho angase acabange ezinye izindlela zokwelapha ezigcotshwayo, imithi yomlomo, noma ngisho nokwelashwa okusha kwe-biologic kuye ngesimo sakho esithile.
Ezinye izindlela zokwelapha ezigcotshwayo zihlanganisa:
Nge-psoriasis enzima noma esabalele, udokotela wakho angase ancome ukwelashwa okuhlelekile njengemithi yomlomo noma imithi ye-biologic ejovwayo. Ukwelashwa ngokukhanya (i-phototherapy) kungenye inketho esebenza kahle kubantu abaningi abane-psoriasis.
Le nhlanganisela ingasebenza ngempumelelo kunezindlela eziningi zokwelapha zokugcoba ze-psoriasis ephakathi nendawo kuya kokukhulu, kodwa "ngcono" kuncike ezimweni zakho. Izifundo zemitholampilo zibonisa ukuthi inhlanganisela ye-halobetasol kanye ne-tazarotene ivame ukusebenza ngokushesha nangempumelelo kunokusebenzisa isithako esisodwa.
Uma kuqhathaniswa nezinye izidakamizwa ze-corticosteroids zokugcoba, le nhlanganisela ingahlinzeka ngemiphumela ehlala isikhathi eside ngoba i-tazarotene isiza ukubhekana nenkinga yokujika kwamaseli esikhumba. Nokho, futhi inamandla kunezindlela eziningi ezingezinye, okusho ukuthi inengozi enkulu yemiphumela emibi ekusetshenzisweni kwesikhathi eside.
Ukwelashwa okungcono kakhulu kuwe kuncike ezintweni ezinjengokuthi i-psoriasis yakho inzima kangakanani, ikuphi emzimbeni wakho, iminyaka yakho, ezinye izimo zempilo, nokuthi usabele kanjani ekwelashweni kwangaphambilini. Udokotela wakho uzokusiza ukuthi uhlole lezi zinto ukuze unqume inketho efanele kakhulu.
Lo muthi uvame ukunqunyelwa ukusetshenziswa kwesikhathi esifushane, ngokuvamile amasonto ama-2 kuya kwayi-8 ngesikhathi. Ukusetshenziswa okuqhubekayo kwesikhathi eside akukhuthazwa ngoba isithako se-corticosteroid esinamandla kakhulu singabangela ukuncipha kwesikhumba, izimpawu zokwelula, nezinye izinkinga ngokusebenzisa isikhathi eside.
Udokotela wakho angase akubhalele ngemijikelezo, lapho uyisebenzisa amasonto ambalwa, bese uphumula ngaphambi kokuqala futhi uma kudingeka. Le ndlela isiza ukunciphisa ingozi yemiphumela emibi ngenkathi isahlinzeka ngelasho eliphumelelayo le-psoriasis yakho.
Uma ngengozi ufaka umuthi omningi esikhumbeni sakho, sula ngokucophelela okweqile ngendwangu ehlanzekile. Ungazami ukuyikhuhla, ngoba lokhu kungacasula isikhumba sakho ngaphezulu. Ukusebenzisa okuningi ngeke kwenze umuthi usebenze kangcono futhi kungase kwandise ingozi yakho yemiphumela emibi.
Uma ngabe ngempela uthola inani elikhulu endaweni enkulu kakhulu kunaleyo obuyihlosile, noma uma ngempela uginya noma yimuphi umuthi, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha. Qaphela izimpawu zokwanda kokucasuka kwesikhumba noma imiphumela yesistimu efana nokukhathala okungavamile noma izinguquko zemizwa.
Uma ukhohlwa ukusebenzisa umuthi wakho, sebenzisa ngokushesha lapho ukhumbula, ngaphandle uma sekuyisikhathi esiseduze somthamo wakho olandelayo ohleliwe. Kulokho, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile.
Ungasebenzisi umuthi owengeziwe ukuze ubuyisele umthamo ophuthelwe, ngoba lokhu kungakhuphula ingozi yakho yemiphumela emibi. Uma uvame ukukhohlwa imithamo, zama ukusetha isikhumbuzi sansuku zonke ocingweni lwakho noma usebenzise umuthi ngesikhathi esifanayo nsuku zonke njengengxenye yomkhuba wakho.
Kufanele uyeke lo muthi ngaphansi kwesiqondiso sikadokotela wakho kuphela. Noma ngabe isikhumba sakho sibukeka singcono kakhulu, ukuyeka ngokushesha kungase kubangele i-psoriasis yakho ibuye ngokushesha. Udokotela wakho uzohlola intuthuko yakho futhi anqume isikhathi esifanele sokuyeka noma ukushintshela kokunye ukwelashwa.
Abanye abantu badinga ukunciphisa kancane kancane ukuthi bavame kangakanani ukusebenzisa umuthi kunokuyeka kungazelelwe. Lokhu kusiza ekuvikeleni ukuqubuka okungazelelwe kwezimpawu ngenkathi kugcinwa ngcono okufinyelele.
Yebo, unga futhi kufanele usebenzise i-moisturizer ukusiza ukuphatha noma yikuphi ukoma noma ukucasuka okuvela emuthini. Sebenzisa umuthi wakho obekiwe kuqala, vumela ukuthi umunce imizuzu embalwa, bese usebenzisa i-moisturizer ethambile, engenamvini uma kudingeka.
Khetha ama-moisturizer abhalwe njengalawa afanele isikhumba esibucayi futhi gwema imikhiqizo enezimvini ezinamandla, utshwala, noma ezinye izithako ezingacasula. Udokotela wakho noma usokhemisi angatusa ama-moisturizer athile asebenza kahle nokwelashwa kwakho.